Bergen Imaging Ctr PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

BERGEN IMAGING CTR PA

Practice address

180 North Dean St
Englewood, NJ 07631

Phone

(201) 568-4242

Fax

(201) 568-1298

NPI assigned

Jan 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Toni Bialkowski, RT

Title

Practice MGR

Phone

(201) 568-4242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher L Petti, MD

  • Diagnostic Radiology Physician
  • Englewood, NJ
  • NPI 1285678169
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609928126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 NORTH DEAN ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-568-4242",
            "fax_number": "201-568-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NORTH DEAN ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-568-4242",
            "fax_number": "201-568-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN IMAGING CTR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIALKOWSKI",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "PRACTICE MGR",
        "authorized_official_telephone_number": "201-568-4242",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bergen Anesthesia and Pain Management LLC
• Bergen Anesthesia Group
• Bergen Clinical Labs, Inc.
• Bergen County Gynecology, P.C.
• Bergen Hand Rehabilitation, LLC
• Bergen Kidney Center PC
• Bergen Laparoscopy & Bariatrics Associates LLC
• Bergen Medical Alliance PA
• Bergen Neuropsychology Group
• Bergen Pulmonary & Sleep Specialists, L.L.C.

• Diagnostic Radiology Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.